Appointments — Smile Squad | Las Vegas | Kid's Dentistry & Braces

Request an Appointment

Patient Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Phone

(###)

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Is your child experiencing pain?

Yes

No

Details

Is there anything you'd like to share with us about your kid's dental experiences or current concerns? if no, feel free to skip

Tell us something fun about your child:

We want to make sure your kid(s) like us! some fun facts will help our staff bond with them:

I authorize Smile Squad to contact me through text messages